Individual provider · Type 1 NPI

Jackquelin Marie Grant, LP-MHC

Mental Health Counselor · New York, NY

NPI number 1124703103 Active

Practice location

510 W 52nd St Apt 19F
New York, NY 10019-5298

Call (646) 284-6394 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X018541 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1124703103

Jackquelin Marie Grant, LP-MHC's National Provider Identifier is 1124703103, issued on Jun 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Sep 10, 2026.